title: [Various aspects of the status of humoral immunity in patients after surgical correction of rheumatic heart defects under artificial circulation].
abstract: The serum concentrations of immunoglobulins A, M, and G were studied in 70 patients with rheumatic heart diseases and in 72 patients with spontaneous and pokeweed mitogen-induced production of these immunoglobulins and mononuclear peripheral blood cells. The investigations were done before and 1-2 and 7-8 days after surgery. Some patients received myelopid in the early postoperative period in addition to the conventional methods of therapy. With high serum IgA, IgM, and IgG levels, reduced humoral immunity was noted. Within the first two days after the operation, the capability of cells to produce IgA and IgG in response to pokeweed mitogen stimulation was lost, the induced IgM production was reduced considerably, and the serum IgA and IgM levels fell significantly. Eight days after surgery, the immune response was partially recovered. Myelopid facilitates complete restoration of humoral immunity and reduces the incidence of postoperative pneumonia more than threefold.
authors.forename: V V
authors.initials: VV
authors.lastname: Abbakumov
authors.forename: N S
authors.initials: NS
authors.lastname: Bogomolova
authors.forename: R N
authors.initials: RN
authors.lastname: Stepanenko
authors.forename: V A
authors.initials: VA
authors.lastname: Ivanov
authors.forename: A D
authors.initials: AD
authors.lastname: Potekhina
authors.forename: R Ia
authors.initials: RIa
authors.lastname: Vlasenko
authors.forename: V I
authors.initials: VI
authors.lastname: Sorokina
mesh_terms: D028341:Activins; D000276:Adjuvants, Immunologic / Q000008:administration & dosage; D000293:Adolescent; D000328:Adult; D001402:B-Lymphocytes / Q000187:drug effects / Q000276:immunology*; D005112:Extracorporeal Circulation; D006801:Humans; D007108:Immune Tolerance / Q000187:drug effects / Q000276:immunology*; D007136:Immunoglobulins / Q000032:analysis* / Q000096:biosynthesis; D008875:Middle Aged; D009842:Oligopeptides; D010455:Peptides / Q000008:administration & dosage; D011184:Postoperative Period; D012214:Rheumatic Heart Disease / Q000276:immunology* / Q000601:surgery
chemical_list: D000276:Adjuvants, Immunologic; D007136:Immunoglobulins; D009842:Oligopeptides; D010455:Peptides; C044147:activin B; D028341:Activins; C048617:myelopeptides
vernacular_title: Nekotorye aspekty sostoianiia gumoral'nogo immuniteta u bol'nykh posle khirurgicheskoĭ korrektsii revmaticheskikh porokov serdtsa v usloviiakh iskusstvennogo krovoobrashcheniia.